Second admission (abdomen): distal extension with collapsed true lumen infrarenal abdominal aorta and occluded left iliac artery

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 311-311
Author(s):  
Paul Schoenhagen
2019 ◽  
Vol 47 (12) ◽  
pp. 6365-6373
Author(s):  
Jiahuang Liu ◽  
Chao Liu ◽  
Xiaohang Zuo ◽  
Yue Teng

Systemic lupus erythematosus (SLE) increases the risk of adverse pregnancy outcomes and fetal complications. Placenta percreta, involving placental attachment to another organ, is a rare but severe placental abnormality. We report a 26-year-old woman, G2P1, with a 6-year history of SLE with coexisting pernicious placenta previa and placenta percreta detected by second trimester ultrasound. She discontinued prednisone 5 months before admission, without consultation, and active SLE was diagnosed on admission. Because of her progressive condition, the patient underwent infrarenal abdominal aorta balloon occlusion and double J ureteral catheter placement, followed by elective cesarean at 27+6 weeks gestation. Despite aggressive management, she experienced severe bleeding requiring internal iliac artery ligation and peripartum hysterectomy. The placenta had penetrated the uterus walls and attached to the bladder apex, necessitating bladder repair. Thrombosis was detected in the common iliac artery and common femoral artery in the right leg 1 day postoperatively. Conservative antithrombotic therapy had little effect, and embolectomy by arteriotomy was performed on the 6th post-cesarean day, and an arterial thrombus was removed. Infrarenal abdominal aorta balloon occlusion may increase the risk of postoperative thrombosis in pregnant women with active SLE and coagulation disorders. These patients therefore require close monitoring and timely anticoagulation.


2003 ◽  
Vol 17 (3) ◽  
pp. 277-283 ◽  
Author(s):  
Pierre Alric ◽  
Frédérique Ryckwaert ◽  
Marie-Christine Picot ◽  
Pascal Branchereau ◽  
Pascal Colson ◽  
...  

Surgery Today ◽  
2002 ◽  
Vol 32 (5) ◽  
pp. 418-420 ◽  
Author(s):  
Jorge Adalberto Flores ◽  
Toshiya Nishibe ◽  
Fabio Kudo ◽  
Jun-ichi Oka ◽  
Keiko Miyazaki ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Pooja Kumari ◽  
Debendra Pattanaik ◽  
Claire Williamson

Introduction. Aortic involvement leading to aortitis in eosinophilic granulomatosis polyangiitis (EGPA) is infrequent, and only 2 cases have been reported so far in the literature. Even more so, aortic aneurysm, secondary to EGPA, has never been reported and remains a diagnostic and therapeutic challenge. Case Presentation. We present a 63-year-old Caucasian male patient with a prior diagnosis of EGPA presenting with abdominal pain, nausea, and loose stools to the emergency department. Physical examination showed periumbilical tenderness. He had no peripheral eosinophilia but had high C-reactive protein and procalcitonin levels. CT abdomen revealed a mycotic aneurysm involving the infrarenal abdominal aorta. The patient declined surgical repair initially and was treated with IV antibiotics only. Unfortunately, 24 hours later, the aneurysm ruptured, leading to emergent axillofemoral bypass surgery. Surgical biopsy showed aortitis, periaortitis, and active necrotizing vasculitis. Conclusion. Abdominal aneurysms should be considered a complication of EGPA, and earlier immunosuppressive therapy should be considered to prevent further complications.


2015 ◽  
Vol 62 (2) ◽  
pp. 25-32
Author(s):  
Ana Mladenovic

Background: In this study, we analyzed epidemiologic characteristics and morphologic differences between Asian and European population in patients with abdominal aorta aneurysm (AAA). Method: We conducted concomitant study in Japan and Europe , in 31 Asian patients (AP) with AAA and 130 control subjects of the same population, and in 30 European patients with AAA and 126 control subjects (EP). We observed various demographic and anthropologic parameters. Aortography was performed in all patients at the same type of CT-scanners using the same examination protocol and postprocessing. For data analysis, various statistical models were used. Results: There are statistically significant differences in multiple epidemiologic and morphologic findings in AAA patients, as well as in comparison with controls in both groups. This is most distinct in terms of anthropologic characteristics and number of risk-factors, and in terms of morphologic findings, in the length of neck of the aneurysm, transverse diameter of abdominal aorta (AA) and common iliac artery (c.i.a), and volumes of c.i.a. We obtained paradoxical results considering diabetes mellitus, which presented itself as a protective factor for AAA. Conclusion: Demographic-epidemiologic analysis accompanied with morphologic measurements using modern imaging modalities enables obtaining new information on pathology of AAA in different races. There are differences in number of risk-factors, and in terms of morphologic findings, in the length neck, angle of the aneurysm, transverse diameters of abdominal aorta (AA) and in the length of common iliac artery (c.i.a), and volume of c.i.a.


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